Wal-Mart Stores, INC
NPI #1376633370 in Longview, Washington
Provider Information
- NPI Number
- 1376633370
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 13, 2006
- Last Updated
- Jul 28, 2011
Practice Location
- Address
- 540 7TH AVE
- City
- Longview
- State
- Washington
- ZIP Code
- 98632
- Phone
- (360) 414-0281
Authorized Official
- Name
- DIANNA D PAINTER
- Title
- ENROLLMENT COORDINATOR
- Phone
- (479) 277-1238
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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